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Oneplan Health Insurance and Plans

Oneplan Health Insurance and Plans

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Oneplan
Health Plan
Oneplan Β· Health Insurance

Best suited for individuals seeking affordable day-to-day healthcare with GP, dental and optical benefits. Not a medical aid.

Principal Member
From
R250
per month
Adult Dependant
From
R250
per month
Child Dependant
From
R250
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Oneplan
Core
Oneplan Β· Health Insurance

Best suited for individuals seeking affordable day-to-day healthcare with enhanced GP, dental, optical and specialist benefits. Not a medical aid.

Principal Member
From
R535
per month
Adult Dependant
From
R535
per month
Child Dependant
From
R400
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Oneplan
Core Plus
Oneplan Β· Health Insurance

πŸ₯‡ Best suited individuals and families seeking enhanced day-to-day healthcare with GP, dental and optical benefits. Not a medical aid.

Principal Member
From
R735
per month
Adult Dependant
From
R735
per month
Child Dependant
From
R735
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Oneplan
Blue
Oneplan Β· Health Insurance

Best suited for individuals seeking comprehensive day-to-day healthcare with private hospital and chronic medication cover. Not a medical aid.

Principal Member
From
R1,080
per month
Adult Dependant
From
R1,060
per month
Child Dependant
From
R675
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Oneplan
Professional
Oneplan Β· Health Insurance

Best suited for individuals seeking comprehensive healthcare with private hospital, chronic medication and enhanced day-to-day benefits. Not a medical aid.

Principal Member
From
R1,595
per month
Adult Dependant
From
R1,450
per month
Child Dependant
From
R955
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health
Oneplan
Executive
Oneplan Β· Health Insurance

Best suited for individuals seeking comprehensive healthcare with premium hospital, chronic and day-to-day benefits. Not a medical aid.

Principal Member
From
R2,175
per month
Adult Dependant
From
R1,680
per month
Child Dependant
From
R1,010
per month
Hospital Savings Day-to-day Chronic Dental Optical Maternity Mental health

main-banner-Oneplan-Health-Insurance    

Oneplan Health Insurance Plans & Prices (2026)

Oneplan offers six health insurance plans in South Africa, starting from R250 per month for a single insured person in 2026. Options range from basic day-to-day healthcare benefits on the Health Plan to higher hospital, chronic and day-to-day benefits on the Executive Plan.

Oneplan is health insurance, not medical aid. Benefits are therefore determined by the selected insurance policy's limits, waiting periods, exclusions and terms rather than the statutory benefit structure applicable to registered medical schemes.

 

Oneplan Health Insurance has the following six plans to choose from:  

 

Note: Oneplan is not a medical aid and the benefits are not the same as a medical aid.    

1️⃣ Number of Markets1 - South Africa
πŸ’― Average Customer Rating (Feb 2026)4.53
πŸ“Œ Average Number of Reviews (Feb 2026)11,200+
4️⃣ The number of plans offered6
πŸ₯ Number of Hospitals in Network100+
🏠 Home care providedNone
πŸ’» Medical Claims Portalβœ… Yes
😷 Information Hub for COVID-19βœ… Yes
πŸ₯° Chronic Illness Benefitsβœ… Yes
🍼 Maternity Benefitβœ… Yes
πŸ’΅ Monthly Premium Range (ZAR)R250 – R2,175
⚠️ Average Waiting Period3 – 12 months
    Oneplan Health Insurance    

 

Which Oneplan Health Insurance Plan Is Best?

  

If You NeedOneplan Option to Compare
Lowest monthly premiumHealth – R250 pm
Entry-level broader benefitsCore – R535 pm
Enhanced day-to-day coverCore Plus – R735 pm
Mid-range hospital + day-to-day coverBlue – R1,080 pm
Higher hospital and day-to-day benefitsProfessional – R1,595 pm
Highest level of Oneplan coverExecutive – R2,175 pm
 

 

Which Oneplan Plan Should You Compare?

Health is the starting point for people primarily looking for affordable day-to-day healthcare benefits.

Core and Core Plus provide the next step up for people who need higher benefit levels while keeping their monthly premium below the Blue, Professional and Executive options.

Blue moves into a higher level of healthcare funding, including stronger hospital-related benefits.

Professional is suited to consumers prepared to pay more for higher day-to-day and hospital benefit levels.

Executive is Oneplan's highest-priced health insurance option and provides the highest level of cover across several benefit categories.

Don't choose solely according to monthly premium. Compare the actual rand limits for GP consultations, medication, hospital events, maternity, dentistry and chronic treatment, together with applicable waiting periods.

 

Oneplan Health Insurance Overview

       

πŸŸ₯ Family Dynamic1️⃣ Core Plan2️⃣ Blue Plan3️⃣ Professional Plan4️⃣ Executive Plan
🟧 Single MemberR535R1,080R1,595R2,175
🟨 Single Insured +1 ChildR935R1,755R2,550R3,185
🟩 Single Insured +2 ChildrenR1,290R2,400R3,340R4,100
🟦 Single Insured +3 ChildrenR1,610R3,020R4,040R4,820
πŸŸͺ Single Insured +4 ChildrenR1,900R3,630R4,735R5,520
πŸŸ₯ CoupleR1,070 R2,140R3,045R3,855
🟧 Couple Insured +1 ChildR1,445R2,775R3,720R4,780
🟨 Couple Insured +2 ChildrenR1,780R3,280R4,325R5,675
🟩 Couple Insured +3 ChildrenR2,090R3,750R4,920R6,355
🟦 Couple Insured +4 ChildrenR2,395R4,195R5,440R7,045
 

Read our Study about Unhealthy Habits

 

Is Oneplan Health Insurance a Medical Aid?

No. Oneplan Health Insurance is not a medical aid, and Oneplan specifically states that its benefits are not the same as medical aid benefits.

This distinction matters in South Africa.

A registered medical scheme operates under the Medical Schemes Act and must provide Prescribed Minimum Benefits (PMBs) according to the applicable regulatory framework. Health insurance instead pays defined benefits according to an insurance policy.

Oneplan can still provide useful benefits for GP visits, medicine, dentistry, optometry, hospital events and other healthcare expenses, depending on the plan selected. However, consumers should not assume these benefits provide the same protection as medical scheme membership.

Before joining, compare the policy's rand limits, waiting periods, exclusions, hospital benefits and chronic cover against your expected healthcare needs.

    Oneplan Health Plan Overview    

Oneplan Health Insurance – Advantages over Competitors

Provides affordable medical coverage with various plans, including the Oneplan Core Plan, Oneplan Blue Plan, Oneplan Professional Plan, and Oneplan Executive Plan.  

  • βœ… Offers comprehensive medical cover, including hospitalization and day-to-day benefits, as well as dental, optical, maternity, and chronic medication benefits.
  • βœ… Provides access to a network of healthcare providers, including general practitioners, dentists, and optometrists.
  • βœ… Offers a range of benefits to suit different budgets and medical needs, making it accessible to a wide range of customers.
  • βœ… Allows for easy claim submissions through the Oneplan Health App, reducing the administrative burden on customers.
  • βœ… Provides excellent customer service with knowledgeable consultants who are patient in explaining policy details and answering customer queries.
  • βœ… Covers transport of mortal remains within South Africa to a funeral home more than 100km away, with up to R15 000 paid directly to the transporter. 

    OnePlan health Plans for 2026    

How to apply for Health Insurance with Oneplan Health

To apply for Health Insurance through Oneplan, you must:  

  • βœ… Visit the Oneplan Health website at www.oneplan.co.za.
  • βœ… Choose the plan that best suits your medical needs and budget.
  • βœ… Click on the "Get a Quote" button for the chosen plan.
  • βœ… Fill in the required personal details and medical information.
  • βœ… Review and accept the terms and conditions of the chosen plan.
  • βœ… Make the necessary payments as per the chosen plan.
  • βœ… Receive confirmation of your cover and membership details.
  • βœ… Download the Oneplan Health App to manage your medical coverage, submit claims, and access other value-added benefits.

Alternatively, you can call Oneplan Health and speak to one of their knowledgeable consultants, who will guide you through the application process and answer any queries.  

Read more about the Application Process at Oneplan Health Insurance.

 

Oneplan Health Insurance's contact details are 010 0010 141 or 083 794 5452  during business hours.  

READ MORE: Health Insurance for people that are currently learning

    How to apply for Health Insurance with Oneplan Health    

How to Submit a Claim with Oneplan Health

Claim submission with Oneplan Health is simple and can be accomplished in a few straightforward steps:  

  • βœ… Download the Oneplan Health application from the App Store or Google Play Store and sign into your account. If you do not have the mobile application, you can also submit claims via the Oneplan Health website.
  • βœ… Select "Submit a Claim" from the app or website's menu.
  • βœ… Follow the prompts to provide the required information, including the date and specifics of the medical service or treatment received, the healthcare provider's name, and the amount charged.
  • βœ… Upload any necessary documentation to support your claims, such as invoices or receipts.
  • βœ… Send your claim to be processed.

After receiving your claim, Oneplan Health will evaluate it and notify you of the outcome. Then, payments are deposited directly into your Oneplan Health account, which you can use to pay for medical expenses.  

➑️ You might also like to read more about the Authorisation Process at Oneplan Health Insurance.     How to Submit a Claim with Oneplan Health    

How to Submit a Compliment or Complaint with Oneplan Health

If you would like to provide Oneplan Health with a compliment or complaint, you can do so in the following ways:  

  • βœ… Contact the Oneplan Health customer service department to speak with a representative. They will be able to assist you with your compliments or criticism.
  • βœ… Send an email to Oneplan Health. Include the date, time, and location of the incident and any pertinent information such as the name of the staff member involved in your compliment or complaint.
  • βœ… Visit the "Contact Us" section of the Oneplan Health website or the Oneplan Health app and log in. Complete the provided form with your name, contact information, and the specifics of your compliment or complaint.

Oneplan Health takes all compliments and complaints seriously and investigates and responds expeditiously. In addition, they are committed to providing superior customer service. Therefore, they will make every effort to address any issues or concerns.  

➑️ Read more in detail the Complaints Procedure of Oneplan Health Insurance.     How to Submit a Compliment or Complaint with Oneplan Health    

How to Switch My Health Insurance to Oneplan Health

It is simple to switch from your current health insurance to Oneplan Health. Here are the subsequent steps:  

  • βœ… Research and compare the plans and benefits of Oneplan Health to ensure that they meet your budgetary and medical needs.
  • βœ… Contact Oneplan Health's customer service team to speak with a consultant or visit their website. They will walk you through the procedure and provide any necessary information.
  • βœ… Provide the consultant with information regarding your current health insurance, including your current insurer's name and the specifics of your current policy.
  • βœ… Select the Oneplan Health plan that meets your needs and budget the best. The consultant will explain the selected plan and assist you with the application process.

Furthermore, you must follow the correct cancellation procedures when canceling your health insurance policy. Once your Oneplan Health policy is activated, you can begin utilizing your new medical cover.  

➑️ Discover the 5 Best Medical Aids with Value for Money

    How to Switch My Health Insurance to Oneplan Health    

Oneplan Health Customer Support

Oneeplan Health Insurance is committed to providing clients with superior customer service. Here are a few of the ways they assist their clients:  

  • βœ… Oneplan Health Insurance has a customer service team that is available to assist clients with any questions or concerns they may have. They are accessible via the phone, email, and live chat.
  • βœ… The Oneplan app provides clients convenient access to their policy details, claims history, and benefits. They can also submit claims and view their available benefits using the app.
  • βœ… Oneplan Health Insurance provides online resources, including a knowledge base and frequently asked questions, to help clients understand their policies and benefits.
  • βœ… Oneplan Health Insurance is active on social media platforms, including Facebook and Twitter, where they interact with clients and provide updates.

Complaints and compliments: Oneplan Health Insurance has a dedicated complaints and compliments process to ensure that client feedback is received and addressed expeditiously and effectively.    

Oneplan valuable information

    Oneplan Health Customer Reviews    

Oneplan Health vs Notable Competitors – A Comparison

 

πŸ”Ž Medical InsuranceπŸ₯‡ Oneplan (2026)πŸ₯ˆ Affinity HealthπŸ₯‰ Flexicare Health Insurance
πŸ…°οΈ Years in OperationSince 2010Since 2011Since 2017
πŸ“Š Market CoverSouth AfricaSouth AfricaSouth Africa
❀️ Customer Rating (Feb2026)4.534.34.2
➑️ Number of reviews (Feb 2026)11,200+5,000+10+
πŸ“± Mobile Appβœ… Yesβœ… Yesβœ… Yes
πŸ’Ά Contribution RangeR250 - R2,175R929 – R2,089R435 – R679
 

➑️ Read more: Health Insurance for Pregnancy

    Oneplan Health vs Notable Competitors – A Comparison    

Oneplan Health Insurance Reviews by Customers

Highly Recommended. "I highly recommend Oneplan Health to anyone needing health insurance. The agent assigned to me was knowledgeable and patient in answering all my questions, making the sign-up process seamless." - Buhle Banda  

Exceeded Expectations. "Oneplan Health has consistently exceeded my expectations. Their support and service have been invaluable, especially when I added a new baby to my policy. The payment process has also been smooth sailing." - Melanie Bothma  

Exceptional Service. "Oneplan Health's benefits and services were explained so that I could understand and align them with my specific needs. The exceptional service provided by their team has been second to none." - Henry van der Ruiter     Oneplan Health Customer Support    

Oneplan Health Pros and Cons

 

βœ… Pros ❌Cons
A comprehensive range of health insurance plansWaiting periods for certain benefits
Customizable plans to fit individual needs and budgetsCover limits on certain benefits
Innovative and technology-driven approach to healthcareExclusions on certain conditions or treatments
You have the freedom to choose any medical practitioner registered in South Africa and receive treatment at any hospital, private or state-owned.
Hassle-free claims process
    Oneplan Health Pros and Cons    

Our Verdict on Oneplan Health

Individuals and families can select from affordable medical insurance plans provided by Oneplan Health Insurance, an innovative and customer-centric healthcare solution. Oneplan's approach to health / medical insurance differs from conventional medical aid programs in providing a more flexible and cost-effective way of accessing healthcare.   One of the distinguishing characteristics of Oneplan is its extensive selection of health insurance plans, which accommodate a variety of budgets and healthcare requirements.  

Furthermore, Oneplan's plans range from hospitalization coverage to comprehensive health insurance with additional dental and routine care benefits. One plan's unique selling proposition is the ability to tailor plans to meet individual needs and budgets. Oneplan's dedication to innovation and technology is a further one of its strengths.  

For instance, the Oneplan app provides clients with a simple and convenient way to manage their policies and benefits, such as submitting claims and viewing available benefits.      

 

Other Medical Insurance plans Oneplan Health offers to consider.

  ➑️ Oneplan Health Blue Plan ➑️ Oneplan Health Core Plan ➑️ Oneplan Health Executive Plan ➑️ Oneplan Health Professional Plan    

Frequently Asked Questions

What is Oneplan Health?

Oneplan Health is a health insurance provider in South Africa that provides individuals and families with affordable and comprehensive health insurance options, including dental and vision coverage.  

What types of health insurance plans does Oneplan Health offer?

Oneplan Health provides a variety of medical & health insurance plans that cover various healthcare needs, including pre-existing conditions and chronic illnesses, maternity care, mental health services, and health insurance for seniors.  

Is Oneplan Health Insurance affordable?

Yes, Oneplan Health Insurance offers cheap health / medical insurance options that accommodate a variety of budgets and healthcare requirements, giving individuals and families access to high-quality care at lower premiums than medical aid schemes.  

Is Oneplan Health Insurance suitable for self-employed individuals who need affordable health insurance?

Yes, Oneplan Health Insurance provides self-employed individuals who want to protect themselves and their families with affordable health insurance options.  

Does Oneplan Health Insurance offer dental and vision coverage?

Yes, Oneplan Health Insurance provides comprehensive dental and vision coverage, ensuring you and your family can access your required care.  

Can I get Oneplan Health Insurance if I have a pre-existing condition?

Yes, Oneplan Health Insurance provides health insurance options for people with pre-existing conditions, ensuring they can access the required care.   Familiarise yourself with Oneplan Waiting Period  

Is Oneplan Health Insurance suitable for individuals with chronic illnesses?

Yes, Oneplan Health Insurance offers cover options for individuals with chronic illnesses, ensuring they can access ongoing care and treatment.  

Does Oneplan Health Insurance cover pregnancy and maternity care?

Yes, Oneplan Health Insurance offers options that cover pregnancy and maternity care, giving expectant mothers and their families peace of mind.   Read more about Maternity Benefits offered by Oneplan.  

Is Oneplan Health Insurance suitable for senior citizens?

Yes, Oneplan Health Insurance offers health insurance options that include wellness benefits, which assist individuals in maintaining their health and preventing illness.  

How do I Downgrade My Plan with Oneplan Health?

To downgrade your Oneplan Health plan access the Oneplan Health website or the Oneplan Health app and proceed to your account's "Membership Details" section.  

How do I add a Beneficiary to Oneplan Health?

If you want to add a child or adult dependent, you can log into your Oneplan profile and proceed to your account's "Membership Details" section.

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